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Article Abstract
Background: There is a paucity of research on patterns of attempts at smoking cessation, success, and influencing factors in adolescents. This study aims to analyze the prevalence of ex-smokers and current smokers with cessation attempts in adolescents worldwide and to identify the factors that affect cessation attempts along with outcomes.
Methods: This study utilized the Global Youth Tobacco Survey (2010-2021) to investigate tobacco use among adolescents aged 13-15 years. Smoking status was categorized into two groups: ex-smokers, who successfully stop, and current smokers with cessation attempts. Prevalence is presented as weighted rates with 95% confidence intervals (CIs). Factors influencing smoking cessation attempts and success were assessed using adjusted odds ratios (aORs) with 95% CIs.
Results: Totally 9.96% of adolescents worldwide were classified as ex-smokers (95% CI 9.30%-10.63%), while 7.29% were current smokers with cessation attempts (95% CI 6.51%-8.06%). The prevalence of ex-smokers was highest in settings where primary care facilities provide tobacco-dependence treatment. The highest prevalence of current smokers with cessation attempts was observed in community-based settings. Education in schools has been shown to be associated with both smoking cessation attempts [aOR, 1.44 (95% CI 1.36-1.53)] and success [aOR, 1.16 (95% CI 1.10-1.22)]. Individuals who successfully stop smoking had lower secondhand smoke exposure than current smokers, while smokers with cessation attempts experienced higher exposure than smokers without such attempts.
Conclusions: The prevalence of ex-smokers and current smokers with cessation attempts remains low. School-based educational programs have proven effective in promoting smoking cessation attempts and reducing exposure to secondhand smoke is essential for successful stop.
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| http://dx.doi.org/10.1007/s12519-025-00956-w | DOI Listing |
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